Provider Demographics
NPI:1366462277
Name:INTERIM HOMESTYLE SERVICES, INC.
Entity Type:Organization
Organization Name:INTERIM HOMESTYLE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SLUPECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-858-2753
Mailing Address - Street 1:1601 SAWGRASS CORPORATE PKWY
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2883
Mailing Address - Country:US
Mailing Address - Phone:954-858-2871
Mailing Address - Fax:954-858-2710
Practice Address - Street 1:1150 N 1ST ST
Practice Address - Street 2:SUITE 195
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4965
Practice Address - Country:US
Practice Address - Phone:408-292-5680
Practice Address - Fax:408-292-5685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERIM HOMESTYLE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health